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FAX ALL FORMS to 702.914.0909 or SCAN & SEND to [email protected] PAYMENT FORM Exhibitor: Booth Number: Contact Name: Address: City, State, Zip: Phone Number: Email: *Paid invoices are emailed 3-5 days after show closing Show Site Contact if Different Than Above: Cell Phone: We will gladly refund 100% orders canceled before October 1st. Orders canceled on October 2nd through October 16th will be subject to a 50% charge. Refunds of items ordered cannot be issued at show site. Services Orders Material Handling Estimate $ Furnishings, Carpet & Accessories $ Cart Service $ Installation & Dismantle Labor $ Cleaning & Porter and/or Floral $ Inbound or Outbound Freight Shipping Call Scott for an estimate -- 702-326-9252 Total Orders $ Credit Card Authorization; For your convenience, we will use this authorization to charge your credit card account for your advance orders and any additional amounts incurred as a result of weight adjustments or show site orders placed by your representative. Please circle appropriate credit card MasterCard Visa American Express Expiration Date: Please provide credit card number ~ Number: Security Code #: Cardholder's Signature: Name Printed: Address (if different than above) Billing Zip: Company Check - Please note show name on check! Make payable to: Keystone Event Services Date check being mailed: Mail to : 2764 Tyndrum Ave, Henderson NV 89044